摘要
腹内疝以后天性较为常见,多是由于手术后腹腔粘连或腹腔解剖结构改变所致,是临床并不罕见的术后并发症。因缺乏特异性的临床表现,腹内疝术前诊断率低,延误治疗可造成肠管缺血和坏死,导致短肠综合征等灾难性后果,因此临床应重视腹部手术后腹内疝的预防。本文结合文献和笔者的经验介绍几种常见腹部胃肠道手术后腹内疝预防的措施和方法。
Most internal hernias are acquired,due to abdominal adhesion or changes in abdominal anatomical structure after operation,which is a rare postoperative complication in clinic.Due to the lack of specific clinical manifestations,the preoperative diagnosis rate of internal hernia is low.If the treatment of internal hernia is delayed there may be intestinal ischemia and necrosis,short bowel syndrome and other disastrous consequences.Therefore,attention should be paid to the prevention of internal hernias after abdominal surgery.Combined with the literature and experience,the author will introduce several common measures and methods for the prevention of internal hernias after abdominal gastrointestinal surgery.
作者
王举
彭际奎
Wang Ju;Peng Jikui(Department of Gastrointestinal Surgery,Inner Mongolia People′s Hospital,Hohhot 010017,China)
出处
《国际外科学杂志》
2020年第4期221-226,共6页
International Journal of Surgery
关键词
疝
腹部
外科手术
吻合术
Roux-en-Y
预防
Hernia
abdominal
Surgical procedures
operative
Anastomosis
Roux-en-Y
Prevention